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DR. IYEN STACEY IGHODARO DNP, FNP-BC, FNP-C
NPI 1730895558
Nurse Practitioner - Family in Livingston, NJ

Active since January 25, 2023PECOS Enrolled
197 HILLSIDE AVE, LIVINGSTON, NJ 07039(646) 633-1525 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Iyen Stacey Ighodaro Dnp, Fnp-bc, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IYEN STACEY IGHODARO DNP, FNP-BC, FNP-C (NPI 1730895558) is an individual family provider in Livingston, New Jersey, licensed in New Jersey (26NJ01426300) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2022).

NPPES Registry Identity

NPI1730895558
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. IYEN STACEY IGHODAROCredential: DNP, FNP-BC, FNP-C
Location Address197 HILLSIDE AVELivingston, NJ 07039-3648
Mailing Address197 Hillside AveLivingston, NJ 07039-3648 · (646) 633-1525
Phone(646) 633-1525
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2022
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1730895558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01426300
197 HILLSIDE AVE, Livingston, NJ 07039
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Iyen Stacey Ighodaro Dnp, Fnp-bc, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638656960
PECOS Enrollment IDI20260116002814
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SSP HOME HEALTHCARE LLC
Home Health
197 HILLSIDE AVE
LIVINGSTON, NJ 07039
Essex County (646) 633-1525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iyen Ighodaro's NPI number?

The NPI number for Iyen Ighodaro is 1730895558. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Iyen Ighodaro located?

Iyen Ighodaro practices at 197 Hillside Ave, Livingston, NJ 07039. The listed phone number is (646) 633-1525.

What is Iyen Ighodaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Iyen Ighodaro enrolled in Medicare?

Yes. Iyen Ighodaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iyen Ighodaro was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.